Organization
TOWN & COUNTRY COMPOUNDING AND CONSULTATION LLC, SERIES T&C NEUROMAX
Active
Parent organization
TOWN & COUNTRY COMPOUNDING AND CONSULTATION SERVICES, LLC
Other names
T&CNeuromax Specialty Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWN & COUNTRY COMPOUNDING AND CONSULTATION SERVICES, LLC
Authorized official
KIMBERLY ANN HANSEN (PHARMACIST)
(201) 447-2020
Entity
Organization
Contact information
Practice address
535 E CRESCENT AVE, RAMSEY, NJ 07446-2922
(484) 410-3171
(866) 587-8915
Mailing address
535 E CRESCENT AVE, RAMSEY, NJ 07446-2922
(201) 447-2020
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
28RS00624100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000710
—
NJ
Enumeration date
04/27/2011
Last updated
12/29/2020
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